Hoosier Pediatric Dental Group

NPI 1053711606 - Dentist - 1223P0221X

NPI Details
NPI 1053711606
Enumeration Date 09/02/2014
Last Updated 09/02/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name AJAY P AJAY
Position PEDIATRIC DENTIST/OWNER
Phone (765) 201-0313
Fax
Practice Location
306 S BALDWIN AVE
MARION IN, 46952-3528, US
Phone (765) 201-0313
Fax
Business Location
9842 BEAVER CREEK LN
SUITE 3312
FISHERS IN, 46037-6532, US
Phone (765) 201-0313
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Indiana
License Number 12010878A
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According to our database, Hoosier Pediatric Dental Group NPI is 1053711606, taxonomy code is 1223P0221X and license number is 12010878A, license state is located at Indiana. Hoosier Pediatric Dental Group physically located at 306 S Baldwin Ave, Marion IN, 46952-3528. NPI Number 1033115704 has the healthcare provider type.

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1053711606 NPI number is provided on an as is basis without warranty of any kind. 1053711606 is maintained by the National Plan & Provider Enumeration System. The contents of Hoosier Pediatric Dental Group are for informational purposes only.